US20020099327A1 - Multi-lumen catheter with attachable hub - Google Patents
Multi-lumen catheter with attachable hubDownload PDFInfo
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- US20020099327A1 US20020099327A1US10/086,033US8603302AUS2002099327A1US 20020099327 A1US20020099327 A1US 20020099327A1US 8603302 AUS8603302 AUS 8603302AUS 2002099327 A1US2002099327 A1US 2002099327A1
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- catheter tube
- lumen
- distal portion
- cannula
- hub body
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Links
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Images
Classifications
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/0029—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the middle part of the catheter, e.g. slots, flaps, valves, cuffs, apertures, notches, grooves or rapid exchange ports
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/36—Other treatment of blood in a by-pass of the natural circulatory system, e.g. temperature adaptation, irradiation ; Extra-corporeal blood circuits
- A61M1/3621—Extra-corporeal blood circuits
- A61M1/3653—Interfaces between patient blood circulation and extra-corporal blood circuit
- A61M1/3659—Cannulae pertaining to extracorporeal circulation
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0097—Catheters; Hollow probes characterised by the hub
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/003—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves
- A61M2025/0031—Multi-lumen catheters with stationary elements characterized by features relating to least one lumen located at the distal part of the catheter, e.g. filters, plugs or valves characterized by lumina for withdrawing or delivering, i.e. used for extracorporeal circuit treatment
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M2025/0034—Multi-lumen catheters with stationary elements characterized by elements which are assembled, connected or fused, e.g. splittable tubes, outer sheaths creating lumina or separate cores
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M2025/0037—Multi-lumen catheters with stationary elements characterized by lumina being arranged side-by-side
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M2025/0098—Catheters; Hollow probes having a strain relief at the proximal end, e.g. sleeve
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/0021—Catheters; Hollow probes characterised by the form of the tubing
- A61M25/0023—Catheters; Hollow probes characterised by the form of the tubing by the form of the lumen, e.g. cross-section, variable diameter
- A61M25/0026—Multi-lumen catheters with stationary elements
- A61M25/0028—Multi-lumen catheters with stationary elements characterized by features relating to at least one lumen located at the proximal part of the catheter, e.g. alterations in lumen shape or valves
Definitions
- the present inventionrelates generally to medical instrumentation and more specifically to a method for inserting a multi-lumen catheter with a selectively attachable hub assembly that allows the catheter tip to be accurately positioned prior to subcutaneous tunneling.
- Cathetersgenerally, are hollow, flexible tubes for insertion into a body cavity, duct, or vessel to allow the passage of fluids or distend a passageway. Catheters are often used for temporary or long-term dialysis treatment. Dialysis treatment provides for blood to be withdrawn from the patient, purified, and then returned to the patient. Thus, in dialysis treatment, catheters are used to allow passage of a patient's blood into and out of the patient's body. For optimal performance during dialysis treatment, the catheter tips, both in-flow and outflow, should be placed in close proximity to the heart. Typically, medical personnel use either a double lumen catheter or two single lumen catheters. Both types, however, present certain deficiencies.
- double lumen catheterse.g., U.S. Pat. No. 4,895,561
- double lumen catheterstypically do not provide for accuracy of catheter tip placement. Due to differences among patients, optimal tip position accuracy of catheter tip placement. Due to differences among patients, optimal tip position varies from patient to patient. Non-optimal tip position may significantly lower flow values, resulting in less effective dialysis treatment.
- a physicianmust make an estimate regarding the appropriate catheter tube length prior to beginning the procedure of catheterization. Then, a subcutaneous tunnel is made from the preferred end position of the hub assembly, namely, away from the neck of the patient in order to allow for more convenient access to the dialysis treatment equipment.
- the double lumen catheter tubeis then tunneled forwardly into the patient's vein. The initial estimate and subsequent forward tunneling may result in less than optimal tip placement.
- the present inventionis a method for inserting a multi-lumen catheter assembly into an area to be catheterized
- the multi-lumen catheter assemblyis comprised of (a) a multi-lumen catheter tube with a distal portion and a proximal portion, the catheter tube having a first lumen and a second lumen, (b) an attachable hub assembly, the hub assembly having a (i) a hub body with a distal portion and a proximal portion, the proximal portion of the hub body being externally threaded, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, the distal portion of the connection cover being internally threaded, and (iii) a compression sleeve, the compression slee
- the methodcomprising the steps of making an incision near the area to be catheterized; inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized; creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is the incision near the area to be catheterized; routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel; and attaching the proximal portion of the hub body to the distal portion of the catheter tube.
- the step of attaching the hub body to the catheter tubeis further comprised of the steps of backfitting the connection cover over the distal portion of the catheter tube; backfitting the compression sleeve over the distal portion of the catheter tube; matching the first indicator associated with the first lumen with the first indicator associated with the first cannula, and inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen; and matching the second indicator associated with the second lumen with the second indicator associated with the second cannula, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the second cannula and the second lumen; compressing the connection between the first and second cannulae and the first and second lumens of the catheter tube by sliding the compression sleeve over the proximal portion of the first and second cannulae
- FIG. 1is an exploded, perspective view of a multi-lumen catheter assembly implanted according to the method of the present invention
- FIG. 2is an enlarged, exploded, perspective view of a hub assembly of the multi-lumen catheter assembly of FIG. 1, including a first cross-sectional view of the hub body;
- FIG. 3is an enlarged, exploded, perspective view of the hub assembly and distal portion of the catheter tube of FIG. 1, including the first cross-sectional view of the hub body;
- FIG. 4is a first cross-sectional view of the catheter tube of the multi-lumen catheter of the present invention.
- FIG. 5is an enlarged perspective view of the catheter tube of the present invention.
- FIG. 6is a perspective view of an assembled multi-lumen catheter assembly of the present invention.
- FIG. 7is a block diagram illustrating a method of inserting a multi-lumen catheter with an attachable hub of the present invention.
- the present inventionis a multi-lumen catheter assembly 10 having a selectively attachable hub assembly 20 .
- a multi-lumen catheter tube 12is formed with a proximal portion 12 a and a distal portion 12 b.
- the distal portion 12 b of the catheter tube 12is selectively attachable to the proximal portion 20 a of the hub assembly 20 .
- the hub assembly 20may be attached to the catheter tube 12 after insertion of the proximal portion 12 a of the catheter tube, including tips 14 and 16 , into a patient.
- the hub assembly 20has a first cannula 22 and a second cannula 24 .
- Each of the cannulaehas a proximal portion 22 a and 24 a, respectively, and a distal portion 22 b and 24 b, respectively.
- each cannulae 22 and 24has an associated extension tube, 26 and 28 respectively.
- Each of the extension tubes 26 and 28has a proximal portion 26 a and 28 a, respectively, and a distal portion 26 b and 28 b, respectively.
- Each of the extension tubes 26 and 28are in fluid communication with the first cannula 22 and second cannula 24 , respectively, through appropriate connection of respective proximal and distal portions, namely connection of the cannulae distal portions 22 b and 24 b with extension tube proximal portions 26 a and 28 a, respectively. While the drawings depict the hub assembly with two cannulae, any appropriate configuration and number of cannulae should be considered within the scope of the present invention.
- the hub body 21is formed to maintain the angle A between the first extension tube 26 and the second extension tube 28 at about 15 degrees. This angle is preferred based upon the necessity for connecting the catheter assembly 10 to the fluid conveying device, e.g., dialysis equipment.
- the hub assembly 20further includes a first connector 30 and a second connector 32 .
- the connectors 30 , 32may be luer fittings, as are known in the art.
- the first connector 30is securely attached to the distal portion of the first extension tube 26 b and the second connector 32 is securely attached to the distal portion of the second extension tube 28 b.
- Each of the connectors 30 , 32preferably is attachable to a fluid conveying device (not shown), such as dialysis equipment, as is known in the art.
- a fluid conveying devicenot shown
- the respective cannulae 22 and 24are in fluid communication with extension tubes 26 and 28 , respectively. Therefore, the cannulae 22 , 24 provide for respective in-flow and out-flow operation of the fluid conveying device.
- Each extension tube 26 and 28has a clamp, 42 and 44 , respectively, for clamping the extension tubes 26 and 28 when the catheter assembly 10 is not connected to a fluid conveying device.
- the hub body 21has two suture wings 38 and 40 , which can be used to suture the catheter assembly 10 to the patient to maintain the position of the catheter assembly 10 after insertion into the patient.
- the hub assembly 20preferably is formed such that each proximal end of the cannulae 22 a and 24 a has a generally D-shaped cross-section.
- the distal portion of each of the cannulae 22 b and 24 bhas a generally O-shaped cross-section.
- the proximal portions 26 a and 28 a of each of the extension tubes 26 and 28 ahave a generally O-shaped cross-section and are configured to receive the distal portions 22 b and 24 b of the respective first and second cannulae 22 and 24 .
- the shape and cross-section configuration of the cannulae 22 , 24 the extension tubes 26 , 28 and the lumens 13 , 17 of the catheter tube 12may be varied, and, thus, the scope of the present invention should not be limited to the above-described preferred configuration.
- a hub body 21is formed around the proximal portions of each of the extension tubes and the distal portions of each of the cannulae. As illustrated in FIG. 2, the hub body 21 provides for protection against disconnection of the several connections between cannulae 22 , 24 and extension tubes 26 , 28 . Further, the hub body 21 provides a structure for connection with the catheter tube 12 . More specifically, hub body 21 has a proximal portion 21 a and a distal portion 21 b.
- the hub body 21is selectively attachable to the distal portion 12 b of the catheter tube 12 so as to provide fluid communication between the respective cannulae 22 and 24 (via proximal portions of the cannula 22 a and 24 a ) with the lumens 13 and 17 , respectively, of the catheter tube 12 , which is discussed in more detail below.
- the catheter tube 12has a first lumen 13 and second lumen 17 .
- Each of the first and second lumen 13 , 17has a generally D-shaped cross-section.
- a longitudinally extending septum 15defines each lumen 13 , 17 up through the distal portion of the catheter tube 12 b, as shown in FIG. 4. Therefore, each lumen 13 , 17 connects to a respective cannula 22 , 24 for fluid communication therewith.
- each lumen 13 , 17 of the distal portion 12 b of the catheter tube 12 , and the proximal ends 22 a and 24 a of the cannulae 22 and 24are correspondingly marked by an indicator, such as a color, to ensure proper matched correspondence upon connection.
- an indicatorsuch as a color
- tips 14 , 16 , extension tubes 26 , 28 and connectors 30 , 32follow the same marking pattern.
- tip 14 , the lumen 13 , cannula 22 , extension tube 26 , and connector 30are marked with a first indicator (e.g., the color blue), while tip 16 , lumen 17 , cannula 24 , extension tube 28 , and connector 32 are marked with a second indicator (e.g., the color red).
- a first indicatore.g., the color blue
- tip 16 , lumen 17 , cannula 24 , extension tube 28 , and connector 32are marked with a second indicator (e.g., the color red).
- the first indicatoris associated with one of the lumens and a second indicator is associated with the other lumen, such that the first indicator and the second indicator define a correspondence between that lumen and an associated cannula, extension tube, and connector.
- the indicatormay be a visual indicator such as color
- the inventionis described with a preferred embodiment containing two cannulae and a dual-lumen catheter.
- the present inventionshould not be limited, however, to this preferred embodiment and other appropriate configurations should be considered within the scope of the present invention.
- the catheter tube and corresponding cannulaemay be a series of concentric tubes of varying diameter.
- the assembly 10may provide a similar configuration to that described hereinabove with three (or more) cannulae and a triple (or more) lumen catheter tube.
- the preferred embodimentincludes two cannulae with a dual-lumen catheter tube.
- connection between the proximal portions 22 a, 24 a of the cannulae 22 , 24 and the lumens 13 and 17 at the distal portion 12 b of the catheter tube 12is an overlapping fitted connection.
- any other appropriate fastening means, such as detentsmay be used.
- connection cover 34having a proximal portion 34 a and a distal portion 34 b.
- Connection cover 34should fit axially about the distal portion 12 b of the catheter tube 12 .
- the distal end 34 b of the connection cover 34is appropriately threaded such that the connection cover 34 is selectively attachable to the threaded portion 21 a of the hub body 21 such that the catheter tube 12 is securely attached to the hub assembly 20 .
- the connection cover 34may include female threads to selectively receive the male threads 21 a formed on hub body 21 .
- the present inventionalso includes a compression sleeve 36 that fits axially about the distal portion 12 b of the catheter tube 12 as well as fitting axially about the combined proximal portions 22 a and 24 a of the first and second cannulae 22 and 24 .
- Compression sleeve 36preferably is formed of malleable material so as to provide further compression about the connection between the cannulae 22 and 24 with the multi-lumen catheter tube 12 .
- the connection cover 34 and the compression sleeve 36together create force to prevent inadvertent separation of the catheter tube 12 from the hub body 21 after insertion of the catheter tube 12 into a patient.
- FIG. 6shows the catheter assembly 10 of the present invention with the hub assembly 20 attached to the catheter tube 12 .
- a preferred method for inserting into a patient the catheter assembly 10 of the present inventionrequires the following: a multi-lumen catheter tube 12 with, preferably, tapered silicone tips 14 , 16 , and, as are known in the art, an introducer needle, multiple tear away sheath dilator introducers, J-flex guidewires, trocars, lock right adapters with clamps, injection caps, a scalpel, sutures, and adhesive wound dressing. Additionally, the physician should have access to scissors, forceps, needles dish, syringes and gauzes.
- FIG. 7shows a preferred method for insertion of the catheter of the present invention into a patient's jugular vein.
- the methodbegins with placing the patient in a position with the patient's head turned to the opposite side of where the jugular vein is to be cannulated.
- the anatomical landmark for proper insertionis defined by the triangle formed by the lateral edge of the sternal head, the medial edge of the clavicular head of the sternocleidomastoid muscle, and the upper edge of the clavicle.
- a skin wheelshould be created, taking care to infiltrate the subcutaneous tissue for about 2 to 3 cm.
- the physicianshould identify the internal jugular vein by aspiration and then proceed at an angle while continuing to aspirate with the syringe.
- the preferred methodincludes detaching the syringe while leaving the needle in place.
- the needle openingshould then be occlused and thereafter the J-flex guidewire should be introduced through the needle and into the internal jugular vein.
- the guidewireshould pass without resistance into the exact position.
- the needleshould be removed, thus leaving the guidewire in place.
- the guidewireshould rest at the junction of the superior vena cava and the right atrium. Appropriate guidewire placement can be confirmed with fluoroscopy.
- a tearaway sheath dilatormay be introduced over the guidewire and into the vein far enough to dilate the vessel. After expanding the vein wall, the guidewire may be removed while occluding the dilator opening.
- a trocarshould be screwed onto the catheter tube 12 by turning the trocar clockwise, but not the catheter tube 12 . Turning the catheter tube 12 may cause it to kink.
- the dilatormay be removed, leaving the tearaway sheath in place to introduce the catheter tube 12 (step 72 ), again being careful to occlude the sheath opening. As the catheter tube 12 is fed into the sheath the tearaway sheath may be torn away. Care should be taken that the catheter tube 12 does not back out of the vessel.
- Air embolusis avoided by the patient's positioning described above, and also by asking the patient to inhale deeply and then hold their breath. At this point, fluoroscopy should be performed to confirm catheter tube 12 placement.
- the tip 14 of the venus cathetershould reach the opening of the right atrium and the tip 16 of the arterial catheter should be approximately 4 cm higher. As described above, proper positioning is important. Positioning, as described, is believed to prevent blood recirculation during hemodialysis.
- a tunnelof about 8 to 10 cm, should be created (step 73 ) in a caudal and internal direction by means of the tunneler, which may be shaped to physician preference.
- the catheter tube 12should be gently pulled through the tunnel (step 74 ) until the loop at the original puncture site is gone.
- the catheter tube 12should rest over the clavicle. Care should be taken to avoid excessive force, as this may cause the catheter tube 12 to separate from the tunnel.
- the methodincludes surveying this area to ensure there are no kinks in the catheter tube 12 and there is a smooth turn.
- the hub assembly 20is attached to the catheter tube 12 (step 75 ).
- the connector 34is backfit over the catheter tube 12 .
- the compression sleeve 36is backfit over the catheter tube 12 .
- the proximal portions 22 a, 24 a of cannulae 22 , 24are inserted into lumens 13 and 17 , respectively, creating a friction fit.
- the cannulae 22 , 24 , or the corresponding extension tubes 26 , 28 or the corresponding connectors 30 , 32are marked so that the cannulae 22 , 24 are inserted into the correct lumens 13 , 17 .
- the compression sleeve 36is slid into a position that is approximately adjacent to the threaded portion 21 a of the hub body 21 .
- the connector cover 34is attached to the hub body 21 (step 76 ) by turning the connector cover 34 so that the female threaded portion of the connector cover 34 receives the male threaded portion 21 a of the hub body 21 thereby creating a secure attachment of the hub assembly 20 to the catheter tube 12 .
- Clamps 42 , 44may be used with extension tubes 26 , 28 .
- extension tubes 26 , 28should be filled with 3 to 4 cc of 5000 units of heperinized saline, clamped, and attached with the injection cap. X-rays should again be performed to reconfirm placement. The small incision is closed with sutures. The patient is now ready for dialysis.
- the subcutaneous tunnelcould be created prior to inserting the catheter into the area to be catheterized.
- the incision near the area to be catheterizedcan be made prior to routing the catheter tube through the tunnel, and the catheter tube can be routed through the subcutaneous tunnel prior to inserting the catheter in the area to be catheterized.
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- Veterinary Medicine (AREA)
- Anesthesiology (AREA)
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- Animal Behavior & Ethology (AREA)
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- Pulmonology (AREA)
- Cardiology (AREA)
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- External Artificial Organs (AREA)
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Abstract
Description
- This application is a Continuation of application Ser. No. 09/769,052, filed Jan. 24, 2001, the content of which is incorporated herein by reference in its entirety.[0001]
- The present invention relates generally to medical instrumentation and more specifically to a method for inserting a multi-lumen catheter with a selectively attachable hub assembly that allows the catheter tip to be accurately positioned prior to subcutaneous tunneling.[0002]
- Catheters, generally, are hollow, flexible tubes for insertion into a body cavity, duct, or vessel to allow the passage of fluids or distend a passageway. Catheters are often used for temporary or long-term dialysis treatment. Dialysis treatment provides for blood to be withdrawn from the patient, purified, and then returned to the patient. Thus, in dialysis treatment, catheters are used to allow passage of a patient's blood into and out of the patient's body. For optimal performance during dialysis treatment, the catheter tips, both in-flow and outflow, should be placed in close proximity to the heart. Typically, medical personnel use either a double lumen catheter or two single lumen catheters. Both types, however, present certain deficiencies.[0003]
- While double lumen catheters (e.g., U.S. Pat. No. 4,895,561) allow for a single venous insertion of the catheter into the desired vein, double lumen catheters typically do not provide for accuracy of catheter tip placement. Due to differences among patients, optimal tip position accuracy of catheter tip placement. Due to differences among patients, optimal tip position varies from patient to patient. Non-optimal tip position may significantly lower flow values, resulting in less effective dialysis treatment. For current double lumen catheters, a physician must make an estimate regarding the appropriate catheter tube length prior to beginning the procedure of catheterization. Then, a subcutaneous tunnel is made from the preferred end position of the hub assembly, namely, away from the neck of the patient in order to allow for more convenient access to the dialysis treatment equipment. The double lumen catheter tube is then tunneled forwardly into the patient's vein. The initial estimate and subsequent forward tunneling may result in less than optimal tip placement.[0004]
- With the use of two independent catheters (e.g., U.S. Pat. Nos. 5,776,111 and 5,624,413) the problem of tip placement is addressed. The hub assembly of each catheter is removable from the tube and tip portion of the catheter, thereby allowing the catheter tip to be placed directly into the vein and advanced into the desired position. Then, the proximal end of the catheter can be reversed tunneled and trimmed to a desired length. Thereafter, the hub assembly is attached. Deficiencies, however, exist in this method of catheterization as well. One problem associated with this method is that this method requires two separate venous insertions, namely, two tunnels and two of each accessory instrument used for the procedure. Therefore, there is increased surgical time required to place two catheters, there are two wound entry sites which doubles the risk of post-surgical infection, and the two catheters together are significantly larger in diameter than one double lumen catheter.[0005]
- The present invention is a method for inserting a multi-lumen catheter assembly into an area to be catheterized The multi-lumen catheter assembly is comprised of (a) a multi-lumen catheter tube with a distal portion and a proximal portion, the catheter tube having a first lumen and a second lumen, (b) an attachable hub assembly, the hub assembly having a (i) a hub body with a distal portion and a proximal portion, the proximal portion of the hub body being externally threaded, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, the distal portion of the connection cover being internally threaded, and (iii) a compression sleeve, the compression sleeve fitting axially about the distal portion of the catheter tube and the proximal portions of the first and second cannulae. The first lumen and the first cannula each have first indicator associated therewith, and the second lumen and the second cannula each have a second indicator associated therewith[0006]
- The method comprising the steps of making an incision near the area to be catheterized; inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized; creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is the incision near the area to be catheterized; routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel; and attaching the proximal portion of the hub body to the distal portion of the catheter tube.[0007]
- The step of attaching the hub body to the catheter tube is further comprised of the steps of backfitting the connection cover over the distal portion of the catheter tube; backfitting the compression sleeve over the distal portion of the catheter tube; matching the first indicator associated with the first lumen with the first indicator associated with the first cannula, and inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen; and matching the second indicator associated with the second lumen with the second indicator associated with the second cannula, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the second cannula and the second lumen; compressing the connection between the first and second cannulae and the first and second lumens of the catheter tube by sliding the compression sleeve over the proximal portion of the first and second cannulae that have been inserted into the first and second lumens of the distal portion of the catheter tube, and connecting the distal portion of the connection cover to the proximal portion of the hub body by turning the connection cover so that the female threaded portion of the connection cover engages the male threaded portion of the hub body, such that the catheter tube is securely attached to the hub body.[0008]
- These and other aspects of the present invention as disclosed herein will become apparent to those skilled in the art after a reading of the following description of the preferred embodiments and drawings. The description and drawings are for the purpose of describing a preferred embodiment of the invention and are not intended to limit the present invention.[0009]
- FIG. 1 is an exploded, perspective view of a multi-lumen catheter assembly implanted according to the method of the present invention;[0010]
- FIG. 2 is an enlarged, exploded, perspective view of a hub assembly of the multi-lumen catheter assembly of FIG. 1, including a first cross-sectional view of the hub body;[0011]
- FIG. 3 is an enlarged, exploded, perspective view of the hub assembly and distal portion of the catheter tube of FIG. 1, including the first cross-sectional view of the hub body;[0012]
- FIG. 4 is a first cross-sectional view of the catheter tube of the multi-lumen catheter of the present invention;[0013]
- FIG. 5 is an enlarged perspective view of the catheter tube of the present invention;[0014]
- FIG. 6 is a perspective view of an assembled multi-lumen catheter assembly of the present invention; and[0015]
- FIG. 7 is a block diagram illustrating a method of inserting a multi-lumen catheter with an attachable hub of the present invention.[0016]
- As shown in the Figures, the present invention is a[0017]
multi-lumen catheter assembly 10 having a selectivelyattachable hub assembly 20. As shown in FIG. 1, amulti-lumen catheter tube 12 is formed with aproximal portion 12aand adistal portion 12b.Thedistal portion 12bof thecatheter tube 12 is selectively attachable to theproximal portion 20aof thehub assembly 20. In this manner, thehub assembly 20 may be attached to thecatheter tube 12 after insertion of theproximal portion 12aof the catheter tube, includingtips - As illustrated in FIG. 2, preferably, the[0018]
hub assembly 20 has afirst cannula 22 and asecond cannula 24. Each of the cannulae has aproximal portion distal portion cannulae extension tubes proximal portion distal portion extension tubes first cannula 22 andsecond cannula 24, respectively, through appropriate connection of respective proximal and distal portions, namely connection of the cannulaedistal portions proximal portions - As shown in FIG. 2, preferably, the[0019]
hub body 21 is formed to maintain the angle A between thefirst extension tube 26 and thesecond extension tube 28 at about 15 degrees. This angle is preferred based upon the necessity for connecting thecatheter assembly 10 to the fluid conveying device, e.g., dialysis equipment. - Returning to FIG. 1, the[0020]
hub assembly 20 further includes afirst connector 30 and asecond connector 32. Theconnectors first connector 30 is securely attached to the distal portion of thefirst extension tube 26band thesecond connector 32 is securely attached to the distal portion of thesecond extension tube 28b.Each of theconnectors respective cannulae extension tubes cannulae - Each[0021]
extension tube extension tubes catheter assembly 10 is not connected to a fluid conveying device. - The[0022]
hub body 21 has twosuture wings catheter assembly 10 to the patient to maintain the position of thecatheter assembly 10 after insertion into the patient. - As shown in FIG. 3, the[0023]
hub assembly 20 preferably is formed such that each proximal end of thecannulae cannulae proximal portions extension tubes distal portions second cannulae cannulae extension tubes lumens catheter tube 12, may be varied, and, thus, the scope of the present invention should not be limited to the above-described preferred configuration. - Preferably, a[0024]
hub body 21 is formed around the proximal portions of each of the extension tubes and the distal portions of each of the cannulae. As illustrated in FIG. 2, thehub body 21 provides for protection against disconnection of the several connections betweencannulae extension tubes hub body 21 provides a structure for connection with thecatheter tube 12. More specifically,hub body 21 has aproximal portion 21aand adistal portion 21b.As previously mentioned, thehub body 21 is selectively attachable to thedistal portion 12bof thecatheter tube 12 so as to provide fluid communication between therespective cannulae 22 and24 (via proximal portions of thecannula lumens catheter tube 12, which is discussed in more detail below. - As shown in FIG. 5, the[0025]
catheter tube 12 has afirst lumen 13 andsecond lumen 17. Each of the first andsecond lumen septum 15 defines eachlumen catheter tube 12b,as shown in FIG. 4. Therefore, eachlumen respective cannula - Preferably, each[0026]
lumen distal portion 12bof thecatheter tube 12, and the proximal ends22aand24aof thecannulae tips extension tubes connectors tip 14, thelumen 13,cannula 22,extension tube 26, andconnector 30 are marked with a first indicator (e.g., the color blue), whiletip 16,lumen 17,cannula 24,extension tube 28, andconnector 32 are marked with a second indicator (e.g., the color red). Thus, the first indicator is associated with one of the lumens and a second indicator is associated with the other lumen, such that the first indicator and the second indicator define a correspondence between that lumen and an associated cannula, extension tube, and connector. While the indicator may be a visual indicator such as color, a selectively attachable multi-lumen catheter with any indicator, visual, tactile, or otherwise, should be considered within the scope of the invention. - As described above, the invention is described with a preferred embodiment containing two cannulae and a dual-lumen catheter. The present invention should not be limited, however, to this preferred embodiment and other appropriate configurations should be considered within the scope of the present invention. For example, the catheter tube and corresponding cannulae may be a series of concentric tubes of varying diameter. Alternatively, the[0027]
assembly 10 may provide a similar configuration to that described hereinabove with three (or more) cannulae and a triple (or more) lumen catheter tube. The preferred embodiment, however, includes two cannulae with a dual-lumen catheter tube. - Preferably, as shown in FIG. 3, the connection between the[0028]
proximal portions cannulae lumens distal portion 12bof thecatheter tube 12 is an overlapping fitted connection. However, any other appropriate fastening means, such as detents may be used. - Returning to FIG. 1, an example of a preferred connection between[0029]
hub body 21 andcatheter tube 12 is shown, which includes aconnection cover 34 having aproximal portion 34aand adistal portion 34b.Connection cover 34 should fit axially about thedistal portion 12bof thecatheter tube 12. Thedistal end 34bof theconnection cover 34 is appropriately threaded such that theconnection cover 34 is selectively attachable to the threadedportion 21aof thehub body 21 such that thecatheter tube 12 is securely attached to thehub assembly 20. For example, as illustrated in FIG. 1, theconnection cover 34 may include female threads to selectively receive themale threads 21aformed onhub body 21. - Preferably, the present invention also includes a[0030]
compression sleeve 36 that fits axially about thedistal portion 12bof thecatheter tube 12 as well as fitting axially about the combinedproximal portions second cannulae Compression sleeve 36 preferably is formed of malleable material so as to provide further compression about the connection between thecannulae multi-lumen catheter tube 12. Theconnection cover 34 and thecompression sleeve 36 together create force to prevent inadvertent separation of thecatheter tube 12 from thehub body 21 after insertion of thecatheter tube 12 into a patient. - FIG. 6 shows the[0031]
catheter assembly 10 of the present invention with thehub assembly 20 attached to thecatheter tube 12. - A preferred method for inserting into a patient the[0032]
catheter assembly 10 of the present invention requires the following: amulti-lumen catheter tube 12 with, preferably, taperedsilicone tips - FIG. 7 shows a preferred method for insertion of the catheter of the present invention into a patient's jugular vein. The method begins with placing the patient in a position with the patient's head turned to the opposite side of where the jugular vein is to be cannulated. The anatomical landmark for proper insertion is defined by the triangle formed by the lateral edge of the sternal head, the medial edge of the clavicular head of the sternocleidomastoid muscle, and the upper edge of the clavicle.[0033]
- The patient's neck and a portion of the patient's thorax beneath the clavicle, preferably at least about 20 centimeters (cm), should be appropriately prepared for incision. Thereafter, the patient should be draped and local anesthetic should be administered.[0034]
- Preferably, a skin wheel should be created, taking care to infiltrate the subcutaneous tissue for about 2 to 3 cm. Next, preferably with an[0035]18-gauge needle attached to a syringe, the physician should identify the internal jugular vein by aspiration and then proceed at an angle while continuing to aspirate with the syringe. Once the internal jugular vein has been located, the preferred method includes detaching the syringe while leaving the needle in place. The needle opening should then be occlused and thereafter the J-flex guidewire should be introduced through the needle and into the internal jugular vein. The guidewire should pass without resistance into the exact position. The needle should be removed, thus leaving the guidewire in place. The guidewire should rest at the junction of the superior vena cava and the right atrium. Appropriate guidewire placement can be confirmed with fluoroscopy.
- Next, with a scalpel, the physician should make an incision in the skin that is wide enough for the[0036]
catheter tube 12 to pass (step71). A tearaway sheath dilator may be introduced over the guidewire and into the vein far enough to dilate the vessel. After expanding the vein wall, the guidewire may be removed while occluding the dilator opening. A trocar should be screwed onto thecatheter tube 12 by turning the trocar clockwise, but not thecatheter tube 12. Turning thecatheter tube 12 may cause it to kink. The dilator may be removed, leaving the tearaway sheath in place to introduce the catheter tube12 (step72), again being careful to occlude the sheath opening. As thecatheter tube 12 is fed into the sheath the tearaway sheath may be torn away. Care should be taken that thecatheter tube 12 does not back out of the vessel. - Air embolus is avoided by the patient's positioning described above, and also by asking the patient to inhale deeply and then hold their breath. At this point, fluoroscopy should be performed to confirm[0037]
catheter tube 12 placement. Thetip 14 of the venus catheter should reach the opening of the right atrium and thetip 16 of the arterial catheter should be approximately 4 cm higher. As described above, proper positioning is important. Positioning, as described, is believed to prevent blood recirculation during hemodialysis. - Next, a tunnel, of about 8 to 10 cm, should be created (step[0038]73) in a caudal and internal direction by means of the tunneler, which may be shaped to physician preference. The
catheter tube 12 should be gently pulled through the tunnel (step74) until the loop at the original puncture site is gone. When correctly inserted, thecatheter tube 12 should rest over the clavicle. Care should be taken to avoid excessive force, as this may cause thecatheter tube 12 to separate from the tunnel. Preferably, the method includes surveying this area to ensure there are no kinks in thecatheter tube 12 and there is a smooth turn. - Next, while pinching the[0039]
distal portion 12bof thecatheter tube 12, thehub assembly 20 is attached to the catheter tube12 (step75). Theconnector 34 is backfit over thecatheter tube 12. Next, thecompression sleeve 36 is backfit over thecatheter tube 12. Theproximal portions cannulae lumens cannulae corresponding extension tubes connectors cannulae correct lumens - After backfitting the[0040]
connector cover 34 and thecompression sleeve 36 over thecatheter tube 12, thecompression sleeve 36 is slid into a position that is approximately adjacent to the threadedportion 21aof thehub body 21. Finally, theconnector cover 34 is attached to the hub body21 (step76) by turning theconnector cover 34 so that the female threaded portion of theconnector cover 34 receives the male threadedportion 21aof thehub body 21 thereby creating a secure attachment of thehub assembly 20 to thecatheter tube 12.Clamps extension tubes - The[0041]
extension tubes - As can be appreciated by those skilled in the art, variations in the sequence of the steps are within the scope of the invention. For example, the subcutaneous tunnel could be created prior to inserting the catheter into the area to be catheterized. Also, the incision near the area to be catheterized can be made prior to routing the catheter tube through the tunnel, and the catheter tube can be routed through the subcutaneous tunnel prior to inserting the catheter in the area to be catheterized.[0042]
- Although specific embodiments of the present invention have been illustrated and described in detail, it is to be expressly understood that the invention is not limited thereto. The above detailed description of the embodiment is provided for example only and should not be construed as constituting any limitation of the invention. Modifications will be obvious to those skilled in the art, and all modifications that do not depart from the spirit of the invention are intended to be included within the scope of the appended claims. Also, as is known in the art, the terms “distal” and “proximal” are relative terms with respect to a point of reference. For purposes of the foregoing detailed description of the invention, the point of reference is the area to be catheterized.[0043]
Claims (15)
1. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, the multi-lumen catheter assembly having (a) a multi-lumen catheter tube having a distal portion and a proximal portion, and (b) an attachable hub assembly having a hub body with a distal portion and a proximal portion, the method comprising the steps of:
making an incision near the area to be catheterized;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized;
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the incision near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel; and
attaching the proximal portion of the hub body to the distal portion of the catheter tube.
2. The method ofclaim 1 , the catheter tube having at least a first lumen and a second lumen, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, and the hub assembly further having (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, wherein the step attaching the proximal portion of the hub assembly to the distal portion of the catheter tube is further comprised of the steps of:
backfitting the connection cover over the distal portion of the catheter tube;
inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen and the second cannula and the second lumen; and
connecting the distal portion of the connection cover to the proximal portion of the hub assembly, such that the catheter tube is securely attached to the hub assembly.
3. The method ofclaim 2 , the hub assembly further having (iii) a compression sleeve, the compression sleeve fitting axially about the distal portion of the catheter tube and the proximal portions of the first and second cannulae, wherein the step attaching the proximal portion of the hub body to the distal portion of the catheter tube is further comprised of the steps of:
prior to the inserting step ofclaim 2 , backfitting the compression sleeve over the distal portion of the catheter tube; and
after the inserting step ofclaim 2 , compressing the connection between the first and second cannulae and the first and second lumens of the catheter tube by sliding the compression sleeve over the proximal portion of the first and second cannulae that have been inserted into the first and second lumens of the distal portion of the catheter tube.
4. The method ofclaim 2 , the proximal portion of the hub body being externally threaded, and the distal portion of the connection cover being internally threaded, wherein the step of connecting the distal portion of the connection cover to the proximal portion of the hub body is further comprised of the step of:
turning the connection cover so that the threaded portion of the connection cover engages the threaded portion of the hub body.
5. The method ofclaim 4 , the threaded portion of the connection cover being female threaded, and the threaded portion of the hub body being male threaded, and wherein the female threaded portion of the connection cover receives the male threaded portion of the hub body.
6. The method ofclaim 2 , the first lumen and the first cannula each having a first indicator associated therewith, and the second lumen and the second cannula each having a second indicator associated therewith, wherein the step of inserting the cannulae into the lumens is further comprised of the steps of:
matching the first indicator associated with the first lumen with the first indicator associated with the first cannula; and
matching the second indicator associated with the second lumen with the second indicator associated with the second cannula.
7. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, wherein the multi-lumen catheter assembly is comprised of (a) a multi-lumen catheter tube with a distal portion and a proximal portion, the catheter tube having at least a first lumen and a second lumen, (b) an attachable hub assembly, the hub assembly having a (i) a hub body with a distal portion and a proximal portion, the proximal portion of the hub body being externally threaded, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, the distal portion of the connection cover being internally threaded, and (iii) a compression sleeve, the compression sleeve fitting axially about the distal portion of the catheter tube and the proximal portions of the first and second cannulae, the method comprising the steps of:
making an incision near the area to be catheterized;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized;
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the incision near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel;
attaching the proximal portion of the hub body to the distal portion of the catheter tube,
wherein the step of attaching the hub body to the catheter tube is further comprised of the steps of:
backfitting the connection cover over the distal portion of the catheter tube;
backfitting the compression sleeve over the distal portion of the catheter tube;
inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen and the second cannula and the second lumen;
compressing the connection between the first and second cannulae and the first and second lumens of the catheter tube by sliding the compression sleeve over the proximal portion of the first and second cannulae that have been inserted into the first and second lumens of the distal portion of the catheter tube; and
connecting the distal portion of the connection cover to the proximal portion of the hub body by turning the connection cover so that the threaded portion of the connection cover engages the threaded portion of the hub body, such that the catheter tube is securely attached to the hub body.
8. The method ofclaim 7 , the threaded portion of the connection cover being female threaded, and the threaded portion of the hub body being male threaded, and wherein the female threaded portion of the connection cover receives the male threaded portion of the hub body.
9. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, wherein the multi-lumen catheter assembly is comprised of (a) a multi-lumen catheter tube with a distal portion and a proximal portion, the catheter tube having at least a first lumen and a second lumen, (b) an attachable hub assembly, the hub assembly having a (i) a hub body with a distal portion and a proximal portion, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, and (iii) a compression sleeve, the compression sleeve fitting axially about the distal portion of the catheter tube and the proximal portions of the first and second cannulae, the first lumen and the first cannula each having a first indicator associated therewith, and the second lumen and the second cannula each having a second indicator associated therewith, the method comprising the steps of:
making an incision near the area to be catheterized;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized;
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the incision near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel through a second end of the subcutaneous tunnel;
attaching the proximal portion of the hub body to the distal portion of the catheter tube,
wherein the step of attaching the hub body to the catheter tube is further comprised of the steps of:
backfitting the connection cover over the distal portion of the catheter tube;
backfitting the compression sleeve over the distal portion of the catheter tube;
matching the first indicator associated with the first lumen with the first indicator associated with the first cannula, and inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen; and
matching the second indicator associated with the second lumen with the second indicator associated with the second cannula, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the second cannula and the second lumen;
compressing the connection between the first and second cannulae and the first and second lumens of the catheter tube by sliding the compression sleeve over the proximal portion of the first and second cannulae that have been inserted into the first and second lumens of the distal portion of the catheter tube; and
connecting the distal portion of the connection cover to the proximal portion of the hub body, such that the catheter tube is securely attached to the hub body.
10. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, wherein the multi-lumen catheter assembly is comprised of (a) a multi-lumen catheter tube with a distal portion and a proximal portion, the catheter tube having a at least a first lumen and a second lumen, (b) an attachable hub assembly, the hub assembly having a (i) a hub body with a distal portion and a proximal portion, the proximal portion of the hub body being externally threaded, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, the distal portion of the connection cover being internally threaded, the first lumen and the first cannula each having a first indicator associated therewith, and the second lumen and the second cannula each having a second indicator associated therewith, the method comprising the steps of:
making an incision near the area to be catheterized;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized;
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the incision near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel;
attaching the proximal portion of the hub body to the distal portion of the catheter tube,
wherein the step of attaching the hub body to the catheter tube is further comprised of the steps of:
backfitting the connection cover over the distal portion of the catheter tube;
matching the first indicator associated with the first lumen with the first indicator associated with the first cannula, and inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen; and
matching the second indicator associated with the second lumen with the second indicator associated with the second cannula, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the second cannula and the second lumen;
connecting the distal portion of the connection cover to the proximal portion of the hub body by turning the connection cover so that the threaded portion of the connection cover engages the threaded portion of the hub body, such that the catheter tube is securely attached to the hub body.
11. The method ofclaim 10 , the threaded portion of the connection cover being female threaded, and the threaded portion of the hub body being male threaded, and wherein the female threaded portion of the connection cover receives the male threaded portion of the hub body.
12. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, wherein the multi-lumen catheter assembly is comprised of (a) a multi-lumen catheter tube with a distal portion and a proximal portion, the catheter tube having at least a first lumen and a second lumen, (b) an attachable hub assembly, the hub assembly having a (i) a hub body with a distal portion and a proximal portion, the proximal portion of the hub body being externally threaded, the hub body being formed about a first cannula and a second cannula, each of the cannula having a proximal portion and a distal portion, (ii) a connection cover having a proximal portion and a distal portion, the connection cover fitting axially about the distal portion of the catheter tube, the distal portion of the connection cover being internally threaded, and (iii) a compression sleeve, the compression sleeve fitting axially about the distal portion of the catheter tube and the proximal portions of the first and second cannulae, the first lumen and the first cannula each having a first indicator associated therewith, and the second lumen and the second cannula each having a second indicator associated therewith, the method comprising the steps of:
making an incision near the area to be catheterized;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized;
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the incision near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel;
attaching the proximal portion of the hub body to the distal portion of the catheter tube,
wherein the step of attaching the hub body to the catheter tube is further comprised of the steps of:
backfitting the connection cover over the distal portion of the catheter tube;
backfitting the compression sleeve over the distal portion of the catheter tube;
matching the first indicator associated with the first lumen with the first indicator associated with the first cannula, and inserting the proximal portion of the first cannula into the first lumen of the distal portion of the catheter tube, to create fluid communication between the first cannula and the first lumen; and
matching the second indicator associated with the second lumen with the second indicator associated with the second cannula, and inserting the proximal portion of the second cannula into the second lumen of the distal portion of the catheter tube, to create fluid communication between the second cannula and the second lumen;
compressing the connection between the first and second cannulae and the first and second lumens of the catheter tube by sliding the compression sleeve over the proximal portion of the first and second cannulae that have been inserted into the first and second lumens of the distal portion of the catheter tube; and
connecting the distal portion of the connection cover to the proximal portion of the hub body by turning the connection cover so that the threaded portion of the connection cover engages the threaded portion of the hub body, such that the catheter tube is securely attached to the hub body.
13. The method ofclaim 12 , the threaded portion of the connection cover being female threaded, and the threaded portion of the hub body being male threaded, and wherein the female threaded portion of the connection cover receives the male threaded portion of the hub body.
14. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, the multi-lumen catheter assembly having (a) a multi-lumen catheter tube having a distal portion and a proximal portion, and (b) an attachable hub assembly having (i) a hub body with a distal portion and a proximal portion, the method comprising the steps of:
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel;
making an incision near the area to be catheterized;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized; and
attaching the proximal portion of the hub body to the distal portion of the catheter tube.
15. A method for inserting a multi-lumen catheter assembly into an area to be catheterized, the multi-lumen catheter assembly having (a) a multi-lumen catheter tube having a distal portion and a proximal portion, and (b) an attachable hub assembly having (i) a hub body with a distal portion and a proximal portion, the method comprising the steps of:
creating a subcutaneous tunnel, wherein a first end of the subcutaneous tunnel is near the area to be catheterized;
making an incision near the area to be catheterized;
routing the distal portion of the catheter tube through the subcutaneous tunnel beginning at the first end and exiting through a second end of the subcutaneous tunnel;
inserting the proximal portion of the multi-lumen catheter tube into the area to be catheterized; and
attaching the proximal portion of the hub body to the distal portion of the catheter tube.
Priority Applications (7)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US10/086,033US6638242B2 (en) | 2001-01-24 | 2002-02-28 | Multi-lumen catheter with attachable hub |
| US10/231,748US6872198B1 (en) | 2001-01-24 | 2002-08-30 | Double-y-shaped multi-lumen catheter with selectively attachable hubs |
| US10/251,411US7300430B2 (en) | 2001-01-24 | 2002-09-20 | Multi-lumen catheter with attachable hub |
| US10/612,532US7381204B2 (en) | 2001-01-24 | 2003-07-01 | Multi-lumen catheter with attachable hub |
| US10/796,495US7749185B2 (en) | 2001-01-24 | 2004-03-09 | Method of inserting double-Y-shaped catheter with attachable hubs |
| US10/797,363US20040171997A1 (en) | 2001-01-24 | 2004-03-10 | Double-y-shaped multi-lumen catheter with selectively attachable hubs |
| US11/861,722US7833214B2 (en) | 2001-01-24 | 2007-09-26 | Multi-lumen catheter with attachable hub |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US09/769,052US20020099326A1 (en) | 2001-01-24 | 2001-01-24 | Multi-lumen catheter with attachable hub |
| US10/086,033US6638242B2 (en) | 2001-01-24 | 2002-02-28 | Multi-lumen catheter with attachable hub |
Related Parent Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US09/769,052ContinuationUS20020099326A1 (en) | 2001-01-24 | 2001-01-24 | Multi-lumen catheter with attachable hub |
Related Child Applications (3)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US10/231,748Continuation-In-PartUS6872198B1 (en) | 2001-01-24 | 2002-08-30 | Double-y-shaped multi-lumen catheter with selectively attachable hubs |
| US10/251,411Continuation-In-PartUS7300430B2 (en) | 2001-01-24 | 2002-09-20 | Multi-lumen catheter with attachable hub |
| US10/612,532ContinuationUS7381204B2 (en) | 2001-01-24 | 2003-07-01 | Multi-lumen catheter with attachable hub |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| US20020099327A1true US20020099327A1 (en) | 2002-07-25 |
| US6638242B2 US6638242B2 (en) | 2003-10-28 |
Family
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Family Applications (4)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US09/769,052AbandonedUS20020099326A1 (en) | 2001-01-24 | 2001-01-24 | Multi-lumen catheter with attachable hub |
| US10/086,033Expired - LifetimeUS6638242B2 (en) | 2001-01-24 | 2002-02-28 | Multi-lumen catheter with attachable hub |
| US10/612,532Expired - LifetimeUS7381204B2 (en) | 2001-01-24 | 2003-07-01 | Multi-lumen catheter with attachable hub |
| US11/861,722Expired - Fee RelatedUS7833214B2 (en) | 2001-01-24 | 2007-09-26 | Multi-lumen catheter with attachable hub |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
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| US09/769,052AbandonedUS20020099326A1 (en) | 2001-01-24 | 2001-01-24 | Multi-lumen catheter with attachable hub |
Family Applications After (2)
| Application Number | Title | Priority Date | Filing Date |
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| US10/612,532Expired - LifetimeUS7381204B2 (en) | 2001-01-24 | 2003-07-01 | Multi-lumen catheter with attachable hub |
| US11/861,722Expired - Fee RelatedUS7833214B2 (en) | 2001-01-24 | 2007-09-26 | Multi-lumen catheter with attachable hub |
Country Status (13)
| Country | Link |
|---|---|
| US (4) | US20020099326A1 (en) |
| EP (1) | EP1353719B1 (en) |
| JP (1) | JP2004526481A (en) |
| CN (1) | CN1223384C (en) |
| AT (1) | ATE395945T1 (en) |
| AU (1) | AU2002240049B2 (en) |
| CA (1) | CA2435697C (en) |
| CZ (1) | CZ20032071A3 (en) |
| DE (1) | DE60226701D1 (en) |
| ES (1) | ES2307727T3 (en) |
| MX (1) | MXPA03006558A (en) |
| PT (1) | PT1353719E (en) |
| WO (1) | WO2002058776A2 (en) |
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Also Published As
| Publication number | Publication date |
|---|---|
| WO2002058776A2 (en) | 2002-08-01 |
| US6638242B2 (en) | 2003-10-28 |
| CN1498125A (en) | 2004-05-19 |
| ATE395945T1 (en) | 2008-06-15 |
| AU2002240049B2 (en) | 2007-01-04 |
| CZ20032071A3 (en) | 2004-06-16 |
| ES2307727T3 (en) | 2008-12-01 |
| MXPA03006558A (en) | 2004-04-02 |
| CN1223384C (en) | 2005-10-19 |
| US20080033350A1 (en) | 2008-02-07 |
| CA2435697A1 (en) | 2002-08-01 |
| US7833214B2 (en) | 2010-11-16 |
| PT1353719E (en) | 2008-09-01 |
| DE60226701D1 (en) | 2008-07-03 |
| EP1353719A2 (en) | 2003-10-22 |
| JP2004526481A (en) | 2004-09-02 |
| EP1353719B1 (en) | 2008-05-21 |
| US20020099326A1 (en) | 2002-07-25 |
| US7381204B2 (en) | 2008-06-03 |
| CA2435697C (en) | 2009-12-15 |
| WO2002058776A3 (en) | 2003-02-27 |
| US20040065333A1 (en) | 2004-04-08 |
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